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Differences across per capita income groups suggests the need for differentiated priority setting mechanisms guiding international support.
This calls for the need for capturing and analyzing the current RH priority setting mechanisms in sub-Saharan countries.
More importantly, however, global health care debates and priority setting frameworks have influenced the Tanzanian priority setting mechanisms at the national level.
Nevertheless, there are concerns that the CCHP process does not employ priority setting mechanisms suited for recognising the need and priorities of FMNCH interventions [ 20].
Important determinants will include quality of services and access to these services, the legitimacy of the services and the priority setting mechanisms defining the objectives and use of resources towards these objectives.
The two countries that appear to have the most well developed national priority setting mechanisms in place (Malaysia and Brazil), were also the two countries with the most senior levels of leadership guiding (and answerable) to the process.
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The priority setting mechanism for health care delivery in Tanzania is very similar to that of other developing countries.
Although one should always be careful in generalizing from a single case study, experience from elsewhere and the results presented in this article allow questioning of the underlying premises of the priority setting mechanism determining the distribution of qualified human resources.
We reinforce this by emphasizing the importance of effective research priority-setting mechanisms that recognize and value HPSR+A, leading to a more stable and responsive funding environment, and the potential uptake of HPSR+A evidence by decision-makers.
After all, ideas underpin and inform priority setting, strategies, and mechanisms of influence.
While it is appropriate for governments and international donors to fund different aspects of the research portfolio, this requires high-level priority setting and consensus mechanisms to ensure they complement each other rather than lead to fragmentation.
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